a practice will need to assess whether the levels would be the same in most cases in their specialty, or whether to send the claim to the doctor to code using the new guidelines, or to have a coder code it using the new guidelines. if reporting a new or established patient service (9920299215) use the new, 2021 e /m guidelines. Incident to Billing Reimbursement Policy - Retired 5-24-2021. 1-844-221-7642. brighthealthplan.com. Reading: What insurance companies accept consult codes 2022. the advantages of using consultation codes are twofold: they are not defined as new or established, and can be used for patients the doctor has seen before, if they meet the requirements for a consultation and have higher rvus and payments . Privacy Policy. BlueCross BlueShield of Tennessee. You should double check me, but in general, I know the following do not pay for consult codes: Aetna, AVMED, Cigna, Department of Labor, Kaiser, Medicare, Medicare Replacement Plans, Medicaid, Meritain, United Health Care, UMR, and Tricare. EPF: 99242. In this article about consultation codes update: See E/M changes for 2021 for additional E/M related resources. When reporting a consultation code follow CPT rules. this adds to the confusion about what needs to be documented to meet the service level. When you look in your book, notice that CPT has entirely removed the concept of transfer of care. Updated format. Medicare Part B is the secondary insurance. Come stay with us for the ultimate Airbnb experience. 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1.4px;text-transform: none;}.uabb-dual-button .uabb-btn,.uabb-dual-button .uabb-btn:visited {font-size: 18px;line-height: 1.4px;text-transform: none;}.uabb-js-breakpoint {content:"default";display:none;}@media screen and (max-width: 992px) {.uabb-js-breakpoint {content:"992";}}@media screen and (max-width: 768px) {.uabb-js-breakpoint {content:"768";}}, Including updates on CPT and CMS coding changes for 2023.